92229A - Dumas, Kim

[_� DREDGE & FILL N9 92229 �A�B C D
a""aLAMA ,
•Previotas Pe<mit t� � A
BGENERAL PERMIT Date prevouspermitiswed
VNew ❑Modification ❑ Complete Reissue rlPartial Reissue
As sod o,,md Jr the State of Noah Cardhw. DeWttn+°M of Ernemen<rnr QtulNy ant the Cmar Resair.es Corm hom In an area oTemframttenaal.nncern P�+sm^+m:
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Total PlIt am area
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Sam Fhoms: yes no
Rpaiurt Waller HGdwd: yes r /
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see additimat nutes/<otddfms on back
sAMAW_—� STAJTA1gUE .Wft"}JWODNDTIM TW APPLY TO 7WS PRWECT AW REVIEWED COMKWI ESWtWWT.

oar AMA ❑ DREDGE & FILL N9 92229 ("�)B C D
Previous permit T GENERAL PERMIT Date previouspermitssu d 0 A
New ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 22 ❑ Rules attached. � neral Permit Rules available at the following link: www.deo.nc eov/CAMArules
Applicant Name LLFM /k Authorized Agent '1--?A V r S 1,1LLB`'
Address // O 5A14f pE Lr47J-6�- Project Location (County): aEd=-T-
City44,1 L State 4L zip -2-7'IV Street Address/State Road/Lot #(s) DP% SIL 1 y-S J
Phone # (Z9z) !O 5 444 PC-- Guy-r t-
Email Subdivision
City ffM6�-f�G9.[.5'U I ZIP 2730-1
Affected ❑ CW [-ff V� Q9TA ❑ ES ❑ PTS
AEC(s): ❑ ^^IDEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: ye4z) PNA: ye rt
Adj. Wtr. Body cdo"A-� 'PA UC-A ;t nan/unk)
Closest Maj. Wtr. Body/-/1io Lve"4
Type of Project/ Activity �D / >t toy /L�'aZ � /6 `.r /(o r L {-/�/yj y 3 ` x / (o r 57-7--c>oo w P)
3 rX -- /3 (ScaleJ)
Shoreline Length Y 7.SO
`�- f /ey j/31+*13'34'fP-w
Access Length ]>�
y fj�sme'i!
Pier (dock)length �o TX � 11
w1 �
Fixed Platform(s) J6 /rk' /�w y� 'x /6 rn 16 ---,y7­1
(I
Floating Platform(s)
� /�
Finger pier(s)
Total Platform area
Groin length/ff
Bulkhead/ Riprap length
Avg distance offshore—
Breakwater/Sill
Max distance/ length_
Basin, channel
Cubic yards
$Jrir,Y�
s,b`J
Jp/ah '
Boat ramp
p
Boathous Boatli /3 Y /
3
Beach Bulldozing
Other
p,eud
SAVobserved: yes
Moratorium: n/a yes
Moratorium:
n
Site Photos: yes
no
Riparian Waiver Attached: yes
no
A building permit/zoning permit
//
may be required by: /T 0 C�
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. Please lniti I)
Agent or Applicant PRINTED Name
Name,
Signature **Please read complianc5statement on back of permit**
o�dch/G syoaD` 53��
Application Feels) Check k/Money Order
g/r-JAa,::�aa icy
Issuing Date Expiration Date

❑DREDGE & FILL N9 92229 A B C
GENERAL PERMIT Previous permit
3 Date previous permit issued
'4 New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC /-' 1 11 ' 1 ='CK? []Rules attached. ❑ General Permit Rules available at the following link: www.deq.nagov/CAMAruIm
Applicant Name Authorized Agent 7_,'l L ( U C.
Address //0' Project Location (County):
City State ^1c- zip l ) --- Street Address/State Road/Lot#(s)
Phone#(t-T) G4--'4- '-53( /;''
Email Subdivision
City
n
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtn Body (nat/manfunk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Shoreline Length _
Access Length
Pier (dock) length
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other 1
SAY observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes , no
A building permit/zoning permit may be r<
Permit Conditions
U TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name ,
Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �A l m 11(1b t.. t
Mailing Address: /Any
��Gi i IBIS i� �" //�" /✓ � � h f �/�
Phone Number: G 7-.2S 31
Email Address:
1 certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1C,,-J-rha_14 '-" b, t
at my property located at ) i U S+aAA-pP-t-zc. 5 c r
in A"--FvnCounty.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
d�L� l"Yn4 f
Print or Type Name
Title
Date
This certification is valid through

..s>,av
DIVISION OF i
Crap Poftn
{ tt to be convIeted by owner or their agent)
215
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ar you ri3Ys owecoams to what 0 o" ploposad. YOU muff ROmy tna mr, cnn.Sron or C-M-1
atemagenw,rK MC* in w6WW *Rhin fa stays of receipt of this notice. Cormspondenco should be
to s0! S. Onsin St. Sfs. 300, Eritabede City, NC. 27W9. OCaf repr"vataaves can also be
at f . So response is considered the same as no objection if you Nye been
by Cottised frail.
w
r--e+ sesi oatrcock, rr *ntl PAfr s- twat rarrw. txeekwater, boauwwae. Was
''mim ee w €tea a �,drojn *Stance of t5 froin my wea of riparian accros unless waived or me
toes r»t ID �A---ems or rtflrao ttl. (H you Wen to waive the
selback, you must sn
berme
s DO w io warre a9 of the 15 j
-ice?- �j \ v
: 00 not *'at, " to wrafre'3xt1 1 Oi semaa r (^AQ1 the
lypedP Of
Ad#raas dARPO: it ss �4atLIF Ss ic�yi`�ii�*t 13.�, ot. �
ARPO's Phonelf:.Z-
} •waiver is valid for up to one year from ARPO`s Stghatura'
Revised .1* 202 t

rjrqod+6rged raw* of ARPO:
141 )tk I t-
ARPO's Phonek
Dow, is valid for up to one year from ARMs ftnaluW
R914sed July 2021
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Tracking Number
70203160000041393319
f ) Copy 'A" Add to Informed Delivery
Your item Was picked up at a postal facility at
3:28 om on October 16, 2023 in COMO. NG
27iElI&
Out of USPS Tracking:
USPS Tracking Plus
Delivered
Delivered, Individual Picked Up at Postal Facility
October 'G �>021. I 1 "li rrI I
11 "
%ee All Triltkinq Hmtofy
What Do USPS Trackinq Statusor, Mann?

t Cansiete stems 1, 2, Mid I
1 pot yOUF name MW Ness nn iha Myerso
59 #wt'Ae Gan aettTm the Card h) YOU.
a Agxb this Card to the back Of the 31340we,
aT en tt* hont it spxe perm ta.
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2 Pxe.�c NUN�rI �. ica+s+m-u Gteq
?deft 3160 0000 4139 3319
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NC- DFVMtON OF COASTAL MANAGEMENT
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATIOWWA1VER FORM
S aR .. 4'i RE'URh "'4nS RFmQI ST£ia -a HAN[1 pELCVEF
(top patton to be c>aT,4a4aW byl1owner Or their went)
` ,ot pmpaty i3ww V { 3._LS1 C� 1 ri k4.: i 4 4x x+nH• �]
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